Considering a career as an Anesthesiologist Assistant (AA)? You're looking at a profession that is not only critical to patient care but also offers significant financial rewards and robust job security. AAs are highly skilled medical professionals who play an essential role in the Anesthesia Care Team, and their compensation reflects their high level of training and responsibility.
With average salaries frequently landing in the six-figure range, and experienced AAs earning well over $150,000, this career path is a compelling option for those passionate about medicine. This guide will break down the Anesthesiologist Assistant salary, the factors that influence it, and the bright future this career holds.
What Does an Anesthesiologist Assistant Do?

Before diving into the numbers, it's important to understand the role. An Anesthesiologist Assistant is a certified and licensed allied health professional who works under the direct supervision of a licensed anesthesiologist. They are integral members of the patient care team, involved before, during, and after surgical procedures.
Key responsibilities include:
- Pre-operative Care: Conducting patient assessments, taking medical histories, and helping to develop the anesthesia care plan.
- Anesthesia Administration: Performing tasks like placing intravenous (IV) lines, inducing anesthesia, and managing the patient's airway.
- Intra-operative Monitoring: Continuously monitoring a patient's vital signs and physiological responses during surgery, making real-time adjustments to anesthesia levels as needed.
- Post-operative Care: Assisting with patient recovery from anesthesia and managing any immediate post-operative issues.
They practice exclusively within the Anesthesia Care Team model, ensuring the highest standards of patient safety and care.
Average Anesthesiologist Assistant Salary

The compensation for an Anesthesiologist Assistant is impressive, reflecting the master's-level education and specialized skills required.
According to data from Salary.com (updated for 2024), the median annual salary for an Anesthesiologist Assistant in the United States is approximately $126,900. However, this is just the midpoint. The typical salary range is quite broad, generally falling between $105,400 and $151,300.
It's also helpful to look at data from the U.S. Bureau of Labor Statistics (BLS). While the BLS does not have a separate category for AAs, it groups them with Physician Assistants (PAs). The median pay for PAs was $130,020 per year as of May 2023. Given their specialization in a high-demand field, AAs often earn salaries at the higher end of the PA spectrum.
- Entry-Level Salary: A newly certified AA can expect to earn a starting salary in the range of $105,000 to $115,000.
- Senior-Level Salary: Highly experienced AAs, especially those with leadership roles or sub-specializations, can command salaries exceeding $150,000, with top earners reaching over $170,000 in high-demand markets.
Key Factors That Influence Salary

Your earning potential as an AA isn't a single number; it's influenced by several key variables. Understanding these factors can help you maximize your income throughout your career.
### Level of Education
To become an Anesthesiologist Assistant, a master's degree from an accredited anesthesiology program is mandatory. This high educational requirement establishes a significant and high salary floor for the profession. Unlike some careers where a bachelor's degree is sufficient for entry, the master's degree is the non-negotiable standard for all AAs. This ensures that every professional entering the field has a deep and standardized knowledge base, which employers reward with a strong starting salary.
### Years of Experience
Experience is one of the most significant drivers of salary growth. As you accumulate years of hands-on clinical experience, your value to an employer increases dramatically.
- Entry-Level (0-2 years): Professionals in this stage are building their skills and confidence. Salaries typically start in the $105,000 to $120,000 range.
- Mid-Career (5-9 years): With a solid foundation of experience, mid-career AAs can handle more complex cases and work with greater autonomy. Their salaries often climb to the $125,000 to $145,000 range.
- Experienced (10+ years): Senior AAs are experts in their field. They may take on roles as clinical leaders, educators, or specialists in high-acuity areas. Their earnings often surpass $150,000, with top-tier professionals earning significantly more, according to salary aggregators like Payscale and Salary.com.
### Geographic Location
Where you work matters—a lot. Salaries can vary by tens of thousands of dollars depending on the state and metropolitan area, largely driven by local market demand and cost of living.
Based on BLS data for the broader Physician Assistant category, some of the highest-paying states include:
- California: High demand and a high cost of living push salaries to the top of the scale.
- Washington
- Alaska
- Connecticut
- Nevada
Conversely, states with a lower cost of living and less competition may offer salaries closer to the lower end of the national range. However, even in these states, an AA's salary remains highly competitive.
### Company Type
The type of facility you work for also impacts your compensation package.
- Large Hospitals and Academic Medical Centers: These institutions often handle the most complex surgical cases (transplants, trauma, complex cardiac surgery) and are frequently the highest payers. They also may offer robust benefits and opportunities for research and teaching.
- Outpatient Surgery Centers (Ambulatory Centers): These centers offer a different work environment, often with more predictable hours and no on-call responsibilities. While the base salary may be slightly lower than at a major hospital, the improved work-life balance is a major draw for many professionals.
- Specialty Clinics: Facilities specializing in areas like pain management, plastic surgery, or orthopedics also employ AAs. Salaries here are competitive and can vary based on the profitability and volume of the practice.
### Area of Specialization
While anesthesiology is itself a specialization, AAs can further sub-specialize in high-acuity fields that often command higher pay due to the increased complexity and risk. These areas require advanced skills and the ability to perform under intense pressure. Sub-specializations that can lead to higher earnings include:
- Cardiac Anesthesia: Assisting in open-heart surgeries.
- Pediatric Anesthesia: Working with infants and children, which requires specialized knowledge.
- Neurosurgical Anesthesia: Assisting during complex brain and spine surgeries.
- Obstetric Anesthesia: Providing pain relief and anesthesia for childbirth.
Job Outlook

The future for Anesthesiologist Assistants is exceptionally bright. The BLS projects that employment for Physician Assistants will grow by 27% from 2022 to 2032, a rate that is much faster than the average for all occupations.
This explosive growth is driven by several factors:
- An aging population requiring more surgical procedures.
- An increasing emphasis on team-based healthcare models to improve efficiency and patient outcomes.
- AAs providing a high-quality, cost-effective solution to meet the growing demand for anesthesia services.
This high demand translates directly into excellent job security and continued salary growth for AAs across the country.
Conclusion

A career as an Anesthesiologist Assistant is a demanding but immensely rewarding path. It requires a significant educational investment, but the return is a stable, respected, and high-paying profession.
Key Takeaways:
- High Earning Potential: The median salary for an AA is over $125,000, with a clear path to earning well over $150,000 with experience.
- Salary is Variable: Your income will be shaped by your years of experience, geographic location, work setting, and any sub-specializations you pursue.
- Excellent Job Security: With projected job growth of 27% over the next decade, the demand for qualified AAs is soaring.
For those with a passion for science, patient care, and working in a collaborative team environment, the Anesthesiologist Assistant profession offers a financially secure and deeply fulfilling career.